Modern Family Vision

NPI #1336313592 in Allen, Texas

Provider Information

NPI Number: 1336313592
Entity Type: Organization
Organization Name: Modern Family Vision
Primary Specialty: Optometrist
Enumeration Date: Apr 18, 2008
Last Updated: Apr 18, 2008

Practice Location

Address: 906 W MCDERMOTT DR
Address 2: SUITE 120
City: Allen
State: Texas
ZIP Code: 75013-6510
Phone: (972) 396-2021

Authorized Official

Name: DR. MARY E LEAZURE, OD
Title: OWNER
Phone: (972) 396-2021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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